PMID- 35486013 OWN - NLM STAT- MEDLINE DCOM- 20220503 LR - 20220503 IS - 1000-0607 (Print) IS - 1000-0607 (Linking) VI - 47 IP - 4 DP - 2022 Apr 25 TI - [Clinical efficacy and safety evaluation of acupuncture combined with moxibustion in treatment of allergic rhinitis]. PG - 336-42 LID - 10.13702/j.1000-0607.20210315 [doi] AB - OBJECTIVE: To evaluate the clinical efficacy and safety of acupuncture combined with moxibustion on allergic rhinitis. METHODS: Using the random number table, 80 patients with allergic rhinitis were divided into a medication group and an acupuncture combined with moxibustion (acu-mox) group, 40 cases in each one. In the medication group, ioratadine tables were prescribed for oral administration, one tablet daily for 10 days as 1 session , 3 sessions of treatment were required. In the acupuncture combined with moxibustion group, bilateral Yingxiang (LI20), Yintang (EX-HN3), bilateral Hegu (LI4) and bilateral Shenshu (BL23) were selected as the main points and stimulated with acupuncture and moxibustion; and the acupoint prescription was modified according to symptoms. This combined treatment was given once every day, stimulating for 30 min each time, and 10 treatments made 1 course, for 3 courses of treatment totally. Before and after treatment, the scores for symptoms and physical signs, as well as the score of rhino-conjunctivitis related quality of life scale (R-QOL) were evaluated separately. The sample of the inferior turbinate mucosa tissue was collected and the distribution of eosinophil (EOS) was scored using HE staining and Sheldeny evaluation. Using enzyme-linked immunosorbent assay (ELISA), the contents of serum immunoglobulin E (IgE), retinoic-acid-receptor-related orphan nuclear receptor gammat (RORgammat), forkhead box protein P3 (Foxp3), interleukin-17 (IL-17), IL-27 and IL-33 were determined. The clinical efficacy was evaluated in the patients with allergic rhinitis of two groups and all the adverse reactions were recorded during treatment. RESULTS: The scores of symptoms and physical signs as well as the score of R-QOL, and EOS distribution score and the contents of serum IgE, RORgammat, IL-17 and IL-33 were all reduced as compared with those before treatment in each group (P<0.05), and the contents of serum Foxp3 and IL-27 were increased as compared with those before treatment in each group (P<0.05). After treatment, the scores of symptoms and physical signs as well as the score of R-QOL, and the contents of serum IgE, RORgammat and IL-33 in the acu-mox group were lower than those in the medication group (P<0.05), and the contents of serum Foxp3 and IL-27 were higher than those of the medication group (P<0.05). The total effective rate of the acu-mox group was 100.0% (40/40), significantly higher than 82.5% (33/40) in the medication group (P<0.05). No ob-vious adverse reaction was found in either group during and after treatment. CONCLUSION: Acupuncture combined with moxibustion is significantly effective and safe in treatment of allergic rhinitis. Its effect mechanism may be related to the balance modulation of Th1/Th2 and Th17/Treg cells mediated by naive CD4(+)T cells. FAU - Ma, Wei AU - Ma W AD - College of Acupuncture-Moxibustion and Tuina, Hunan University of Chinese Medicine, Changsha 410208, China; Preventive Treatment Center, Yulin Hospital of Chinese Medicine, Yulin 719000, Shaanxi Province. FAU - Zhai, Chun-Tao AU - Zhai CT AD - The Third Clinical College, Shanxi University of Chinese Medicine, Taiyuan 030024. FAU - Shang, Hui-Mei AU - Shang HM AD - Preventive Treatment Center, Yulin Hospital of Chinese Medicine, Yulin 719000, Shaanxi Province. FAU - Xu, Xiao-Shan AU - Xu XS AD - The Third Clinical College, Shanxi University of Chinese Medicine, Taiyuan 030024. FAU - Zheng, Tong AU - Zheng T AD - Preventive Treatment Center, Yulin Hospital of Chinese Medicine, Yulin 719000, Shaanxi Province. FAU - Tian, Yue-Feng AU - Tian YF AD - The Third Clinical College, Shanxi University of Chinese Medicine, Taiyuan 030024. LA - chi PT - Journal Article PL - China TA - Zhen Ci Yan Jiu JT - Zhen ci yan jiu = Acupuncture research JID - 8507710 RN - 0 (Forkhead Transcription Factors) RN - 0 (Interleukin-17) RN - 0 (Interleukin-27) RN - 0 (Interleukin-33) RN - 0 (Nuclear Receptor Subfamily 1, Group F, Member 3) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - *Acupuncture Therapy MH - Forkhead Transcription Factors MH - Humans MH - Immunoglobulin E MH - Interleukin-17 MH - *Interleukin-27 MH - Interleukin-33 MH - *Moxibustion MH - Nuclear Receptor Subfamily 1, Group F, Member 3 MH - Quality of Life MH - *Rhinitis, Allergic/therapy MH - Treatment Outcome OTO - NOTNLM OT - Acupuncture combined with moxibustion OT - Allergic rhinitis OT - Clinical efficacy OT - Safety evaluation EDAT- 2022/04/30 06:00 MHDA- 2022/05/04 06:00 CRDT- 2022/04/29 10:27 PHST- 2022/04/29 10:27 [entrez] PHST- 2022/04/30 06:00 [pubmed] PHST- 2022/05/04 06:00 [medline] AID - 10.13702/j.1000-0607.20210315 [doi] PST - ppublish SO - Zhen Ci Yan Jiu. 2022 Apr 25;47(4):336-42. doi: 10.13702/j.1000-0607.20210315.